Van Baak, Alfred A.
Van Baak, Alfred A. is an individual health care provider with primary practice located at 8300 Constitution Ave Ne Bldg D , Albuquerque NM 87110-7613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Van Baak, Alfred A. can be contacted via phone (505) 291-2730.Contact Information
Primary practice address
8300 Constitution Ave Ne Bldg D
Albuquerque NM 87110-7613
Phone: (505) 291-2730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD2016-0051 | New Mexico |
Profile Details
| NPI number | 1528355153 |
|---|---|
| LBN Legal business name | Van Baak, Alfred A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2011 |
| Last updated | Jun 3rd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528355153 | NPPES |
| New Mexico | MEDICAID | 07431210 |
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